Outpatient office visit, established patient at Fairview Bethesda Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC OUTPT VISIT,EST PATIENT, LEVEL 3

St. Paul, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Bethesda Hospital’s median price of $225 is 81% above the median hospital's median price ($124), higher than 80% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at Fairview Bethesda Hospital

Negotiated rates from the hospital’s own file: 9 payers, 57 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Ucare pmap fee schedule · both	$46.30	$46.30	$46.30 – $46.30
2	Optum behavioral medicare fee schedule · both	$46.50	$46.50	$46.50 – $46.50
3	Medica minnesota care/accessability/choice care government fee schedule · both	$49.13	$49.13	$49.13 – $49.13
4	Bcbs Mn managed medicaid fee schedule · both	$52.57	$52.57	$52.57 – $52.57
5	Sanford Health Plan medicare advantage fee schedule · both	$60.93	$60.93	$60.93 – $60.93
6	UnitedHealthcare medicare advantage fee schedule · both	$60.93	$60.93	$60.93 – $60.93
7	WellCare medicare advantage fee schedule · both	$60.93	$60.93	$60.93 – $60.93
8	Bcbs Mn medicare advantage fee schedule · both	$63.37	$63.37	$63.37 – $63.37
9	Medica medicare advantage fee schedule · both	$65.46	$65.46	$65.46 – $65.46
10	Ucare medicare advantage/msho fee schedule · both	$65.80	$65.80	$65.80 – $65.80
11	Medica msho fee schedule · both	$66.69	$66.69	$66.69 – $66.69
12	Optum behavioral medicaid fee schedule · both	$69.90	$69.90	$69.90 – $69.90
13	Bcbs Mn managed medicaid percent of total billed charges · inpatientfrom % of charges	$101.59	$100.89	$96.53 – $101.87
14	Bcbs Mn managed medicaid percent of total billed charges · outpatientfrom % of charges	$104.67	$103.94	$99.46 – $104.95
15	UnitedHealthcare commercial fee schedule · both	$130.98	$130.98	$130.98 – $130.98
16	UnitedHealthcare core fee schedule · both	$130.98	$130.98	$130.98 – $130.98
17	Medica minnesota care/accessability/choice care government percent of total billed charges · outpatientfrom % of charges	$134.49	$133.56	$127.79 – $134.86
18	Medica minnesota care/accessability/choice care government percent of total billed charges · inpatientfrom % of charges	$135.25	$134.31	$128.52 – $135.62
19	Medica msho percent of total billed charges · inpatientfrom % of charges	$152.73	$151.67	$145.12 – $153.14
20	Ucare pmap percent of total billed charges · inpatientfrom % of charges	$159.03	$157.93	$151.11 – $159.47
21	Ucare individual and family with m health fairview fee schedule · both	$160.79	$160.79	$160.79 – $160.79
22	Medica msho percent of total billed charges · outpatientfrom % of charges	$164.12	$162.99	$155.95 – $164.57
23	Ucare individual and family fee schedule · both	$169.39	$169.39	$169.39 – $169.39
24	Ucare individual and family percent of total billed charges · outpatientfrom % of charges	$189.96	$188.64	$180.50 – $190.48
25	Ucare individual and family with m health fairview percent of total billed charges · outpatientfrom % of charges	$189.96	$188.64	$180.50 – $190.48

Page 1 of 3 · 57 rates

Last updated: Jan 29, 2026

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